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Journal of Medical Case Reports

, 4:255

First Online: 08 August 2010Received: 22 October 2009Accepted: 08 August 2010DOI: 10.1186-1752-1947-4-255

Cite this article as: Faucherre, M., Haftgoli-Bakhtiari, N., Menth, M. et al. J Med Case Reports 2010 4: 255. doi:10.1186-1752-1947-4-255

Abstract

IntroductionThe potential complications of an abdominal aortic aneurysm include rupture, compression of surrounding structures, thrombo-embolic events and fistula. The most common site of arterio-venous fistula is the inferior vena cava. Fistula involving a renal vein is particularly uncommon.

Case presentationThis report describes a 54-year-old Caucasian woman who was admitted to the emergency department with fatigue, severe dyspnea and bilateral lower limb edema. In the first instance this anamnesis suggested possible heart failure. In fact, our patient presented with multi-organ system failure due to a fistula between an infra-renal aortic aneurysm and an aberrant retro-aortic renal vein.

ConclusionsTo our knowledge, this is the first report of a woman with a fistula between an infra-renal aortic aneurysm and an aberrant retro-aortic left renal vein. Aorto-venous fistulas may be asymptomatic or may present with symptoms characteristic of arterio-venous shunting and-or aneurysm rupture. This type of fistula is a rare cause of heart failure. Clinical examination and imaging are essential for detection.

List of abbreviationsAAAabdominal aortic aneurysm

ASATaspartate aminotransferase

CTcomputed tomography

HDLhigh-density lipoprotein

IU-Linternational units per liter

LDHlactate dehydrogenase

PTprothrombin time

PTTactivated partial thromboplastin time

RVreference value.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-255 contains supplementary material, which is available to authorized users.

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Autor: Mélanie Faucherre - Nader Haftgoli-Bakhtiari - Markus Menth - Julien Gaude - Beat Lehmann

Fuente: https://link.springer.com/







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